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KELLY CIEZCZAK
NPI 1326593732
Speech-Language Pathologist in Crown Point, IN

Active since August 16, 2016Accepts Medicare Assignment
966 CHEROKEE CT, CROWN POINT, IN 46307(219) 671-0623 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2025, Aug 16, 2016 (2 updates tracked since 2016).

About Kelly Ciezczak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY CIEZCZAK (NPI 1326593732) is an individual speech-language pathologist provider in Crown Point, Indiana, licensed in Massachusetts (SP-9837-SL) and active in the NPI registry since August 2016. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1326593732
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY CIEZCZAK
Location Address966 CHEROKEE CTCrown Point, IN 46307-4613
Mailing Address966 Cherokee CtCrown Point, IN 46307-4613 · (219) 671-0623
Phone(219) 671-0623
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 16, 2016
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1326593732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in MA · SP-9837-SL✔ Licensed in IN · 22006267A✔ Licensed in NC · 11718
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
966 CHEROKEE CT, Crown Point, IN 46307
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Other Names 1

Former Name (1)Kelly Landers

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Ciezczak is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385168855
PECOS Enrollment IDI20250404003298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Ciezczak's NPI number?

The NPI number for Kelly Ciezczak is 1326593732. It was assigned to this individual provider in the NPPES registry on August 16, 2016. The provider is also known as Kelly Landers.

Where is Kelly Ciezczak located?

Kelly Ciezczak practices at 966 Cherokee Ct, Crown Point, IN 46307. The listed phone number is (219) 671-0623.

What is Kelly Ciezczak's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kelly Ciezczak enrolled in Medicare?

Yes. Kelly Ciezczak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Ciezczak was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.